Displaying 76331-76340 of 1611142 results.
ID:
76331
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
76332
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
135
Qty Limit Days:
30
ID:
76333
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76334
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76335
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76336
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76337
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76338
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76339
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
76340
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
76331763327633376334763357633676337763387633976340